DR. KHOSRO POURKAVOOS (NPI# 1710946892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710946892 |
| Entity Type | Individual |
| Full Name | DR. KHOSRO POURKAVOOS |
| Practice Address |
35 Nod Rd Suite 205 Avon CT 06001-3826 |
| Mailing Address |
18 Terrace Dr Avon CT 06001-2314 |
| Practice Telephone | 8606760090 |
| Mailing Telephone | 8606760090 |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2010-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 039709 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
35 NOD RD SUITE 205 |
| City | AVON |
| State | CT |
| Zip Code | 06001-3826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343220 | Paul Stanislaw Jr. | Plastic Surgery | 35 Nod Rd, Suite 204, Avon, CT 06001-3826 | 2005-08-18 |
| 1710319165 | New England Medical Aesthetics LLC | Obstetrics & Gynecology | 35 Nod Rd, Avon, CT 06001-3826 | 2013-08-07 |
| 1346543642 | Pourkavoos Medical Center, LLC | Family Medicine | 35 Nod Rd, Suite 205, Avon, CT 06001-3826 | 2010-12-09 |
| 1811129497 | Cristina Richards | Physical Therapist | 35 Nod Rd, Suite 102, Avon, CT 06001-3826 | 2009-08-17 |
| 1942332911 | Tina Marie Steen | Specialist | 35 Nod Rd, Connemara Ct. Suite 102, Avon, CT 06001-3826 | 2007-03-12 |
| 1063424588 | Michael Gans | Physical Therapist | 35 Nod Rd, 102, Avon, CT 06001-3826 | 2006-08-13 |
| 1669497269 | Radiology Associates of Hartford PC | Radiology | 35 Nod Rd, Avon, CT 06001-3826 | 2006-07-13 |
| 1538122262 | Ingrid Grafals | Internal Medicine | 35 Nod Rd, Suite 201a, Avon, CT 06001-3826 | 2006-04-12 |
| 1700878576 | Stanislaw Facial Plastic Surgery Center, LLC | Plastic Surgery | 35 Nod Rd, Suite 204, Avon, CT 06001-3826 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578006896 | Richard Salmon | Family Medicine | 5 Hawks Rdg, Avon, CT 06001-4417 | 2016-11-19 |
| 1386095719 | Stephanie L Reynolds | Family Medicine | 6845 E Us Highway 36 Ste 600, Avon, IN 46123-8132 | 2016-06-27 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1992169700 | Meredith Marie Larson | Family Medicine | 301 Satori Pkwy Ste 200, Avon, IN 46123-6407 | 2016-04-07 |
| 1831486547 | Michael D Buckwalter | Family Medicine | 6845 East Us Highway 36, Ste 600, Avon, IN 46123-8123 | 2011-07-01 |
| 1518096593 | University Primary Care Practices, Inc. | Family Medicine | 1480 Center Rd Ste A, Avon, OH 44011-1239 | 2007-03-05 |
| 1508959487 | Andrew M Cougill | Family Medicine | 1115 N. Ronald Reagan Parkway, Suite 100, Avon, IN 46123-6913 | 2006-10-02 |
| 1790893832 | David Michael Fesak | Family Medicine | 1250 Bur Oak Ct, Avon, IN 46123-9476 | 2006-08-28 |
| 1073526919 | Robert A Rothenberg | Family Medicine | 21 Arts Center Court, Avon, CT 06001-3680 | 2006-08-14 |
| 1669407409 | Suzanne R. Cole | Family Medicine | 8d Canal Ct, Avon, CT 06001-3747 | 2006-07-11 |
| Find all providers in AVON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.